Organization Active NPI

Next Level Diagnostic LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Nanuet, NY
National Provider Identifier
1659616340
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
2312232 Issued in NY
Legal business name
NEXT LEVEL DIAGNOSTIC LLC
Practice address
257 S Middletown Rd
Nanuet, NY 10954-3360
Phone
(845) 623-8000
Fax
(845) 623-0770
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Deepak Vasishtha, M.D.NPI 1114950540
Title
President
Phone
(917) 968-0730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P2900X 2312232 NY Primary

Addresses

Primary practice location

257 S Middletown Rd
Nanuet, NY 10954-3360

Mailing address

358 5TH Ave
Suite 307
New York, NY 10001-2209
Phone (212) 730-8172

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1659616340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 5TH AVE",
            "address_2": "SUITE 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012209",
            "telephone_number": "212-730-8172",
            "fax_number": "212-730-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543360",
            "telephone_number": "845-623-8000",
            "fax_number": "845-623-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "VASISHTHA",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-968-0730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "2312232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.